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Patient Property Inventory

When admitting patients it is important to inventory all their property with this Patient Property Inventory sheet. It provides a check and balance for both the hospital and the patient. When the patient checks out the check out nurse can verify everything that the patient had when they entered the hospital is going home with the patient upon check out.

Sample Template

Version: Word PDF
# of Pages: 1
Type: Form
Categories: Medical, Hospital
Printable: Yes
License: Private Use





Patient Property Inventory

Patientís Name: ________________________________________________________________________________

Address: ______________________________________________________________________________________

City: ___________________________________________ State: ___________ Zip Code: _____________________

Personal Property:

Quantity

Description

Received

Returned

Notes

Admitting Nurseís Signature: ____________________________________________________ Date: ___/___/_____

Patientís Signature: ___________________________________________________________ Date: ___/___/_____